“…Nausea, decreased appetite, weight loss, and sleep disturbances are among the most frequently reported adverse effects during MPH treatment (5). Besides these common adverse effects, MPH has also been reported to cause some unusual adverse effects such as hallucinations (6), hypersexuality or inappropriate sexual behaviors (7), skin eruptions (8,9), obsessive-compulsive symptoms (10), gynecomastia (11), and painful muscle cramps (12).…”